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Trigger injection gone wrong?
I did my pregnyl trigger injection at 9.15 this evening. It bled quite a bit when I took the needle out. I'm worried now I injected it into a vein - it's bruising pretty badly. The clinic never gave any advice on making sure not to hit a vein or what to do if you do hit a vein. Is there any way to make sure the trigger worked? I'm meant to be going for egg collection on Tuesday but if the trigger didn't work properly there won't be any eggs to collect!
Any advice appreciated - I'm panicking!
I'm sure it's fine. You can take a pregnancy test to be sure that it worked. My clinic always had me take one the day after trigger. If it's positive, the trigger worked.
Me 33 endo removed and blood clotting disorder
DH 33 low count, motility and morph
10/31 Chemical Pregnancy
New RE Again
IVF #5 transfer cancelled due to high P4 5 frosties
FET #1 8/31/12
Beta 10dp5dt = 818
Beta 12dp5dt = 1962
in which part of your body you did the injection? Did you use the small needle? I only have the Ovidrel as trigger so I don't know how the others are. But you shouldn't have gone wrong if you inserted it in some fat, maybe you pushed it too hard?
Me 30: Unexplained
DH 30: Healthy
February 2012: Clomid 50mg, increased to 100 mg in April 2012
May 2012: 1st IUI,
June 2012: Break
August 2012" 2nd IUI
September 2012: Ruptured Cyst and break cycle
Switching to IVF in January
I agree, take a HPT in the am. If its negative, then call your RE and let them know. I think you are fine
June & July Clomid TI
Aug & Sept Femara IUI
Jan & Feb Follistim IUI
3/29 Baseline B/W
4/20 Follistim and MicroHcg
3 days stims E2-297-keep 300 follistim
4 days stims E2-475 20-25 follicles <10 -decrease to 225 follistim
6 days stims E2 1151- 17 follies 11-13 and 1 @ 15...with some more smaller ones-decrease to 187.5 Follsitim
8 days stims E2 2649 15 follies @18+, 5ish @ 15ish TRIGGER
4/30 ER- 20
5/1 17 out of 20 fertilized (without ICSI)
5/5 ET 2 PERFECT blast-6frozen
5/12 x2 FRER and CLB digital!!
5/18 Beta 403!
5/22 Beta 1748!
5/31 US-1 HB 135
6/13 US HB 182
6/26 last RE US- moving all around HB 162
7/5 NT scan HB 167 SHE is moving all around! measuring almost a week ahead!
8/14 Level II US-Harmony test all clear! HB 157 and measuring 10-11days ahead! Shes definitely a GIRL!
9/26 measuring 15 days ahead! 1LB 11oz
11/28 32.5wks est 6.25lbs!!
1/14/13 born 9lbs 8oz 21" long
You may have just hit a vein on the way in, not necessarily injected it into a vein. I've done that with PIO before. I think it will be fine. Ask your RE anyway, just to ease your mind. And I think the HPT is a great idea.
Me: 31, No problems known
DH: 34, Mod. to severe MF: morphology (4%), borderline count and motility
DS1: conceived naturally (God is so good!), born 6/20/07
DS2: Our IVF baby, born 10/12/11
IVF#1 - January 2011: Long Lupron protocol
1/29 - ER - 17 eggs (12 fert. - ICSI and AH)
1/31 - ET 2 4-cell embryos (9 snowbabies)
2/9 (9dp2dt) Faint HPT
2/11 (11dp2dt) Beta #1 = 92
2/15 (15dp2dt) Beta #2 = 545
2/23 - 1st u/s - 1 sac, baby measuring 1.6 mm
3/9 - 2nd u/s - 1 baby, HB of 172
10/12/11 - Baby boy born 38w4d
February 2013 - (Unplanned) Natural !
Make a pregnancy ticker
"For nothing is impossible with God." Luke 1:37
After inserting the needle but prior to the actual injection did you pull back on the syringe to check if you were in a vein? I agree with the other posters, you probably went through a vein and didn't necessarily inject into a vein and you will be fine. Take a hpt in the morning and call your clinic to put your mind at ease.
The same thing happened to me during a trigger for an iui and also a couple of times with my PIO injections. I know it is scary, so much blood squirting out. My husband and I joke about how much trouble he'd be in if I ever disappeared and the police ran forensics on our bathroom.
me (36) unexplained infertility
dh (36) normal semen analysis although some low counts on some of our iui.
2008 - 5 iui and finally
2009 - birth of my son
2011 - 4 iui all
2012 - Aug/Sept IVF#1
8/15 - stopped bcp
8/20 - started stim
8/30 - ER - 9 mature eggs - 8 fertilized with ICSI
9/4 - ET - transferred 2 blasts & froze 2 blasts
9/14 (10dp5dt) - beta #1 - 74
9/17 (13dp5dt) - beta #2 - 348
9/20 (16dp5dt) - beta #3 - 1804
9/25 - first u/s - pretty sure it's only one sac
10/2 - 2nd u/s - saw heartbeat. Baby measuring on schedule
1/3 - It's a GIRL!!!
thanks for taking the time to answer - I really appreciate it. I didn't pull back on the plunger after inserting the needle. The clinic have never mentioned that to me. I realised I should've done that when I did an online search to see if the bleeding after injecting was a problem. that's when I realised you're not meant to inject into a vein. as I said no one told me this before.
I guess I'll just have to ring up and hope they can check if it worked or something. that's a lot of money to waste if I've done it wrong!
Try not to worry I'm a nurse ... We dont check for blood in a sub Q injection ... The chances of u injecting into a major blood vessel are basically none u likely just went through it. With IM injections u do need to check the needle is longer and more likely to reach a big vessel although that's not to common either
Me (26) PCOS
DH (30)low everything DD (10) from previous relationship
TTC #1 1/08
metformin and clomid x 3 months all bfn
SA comes back abnormal count <900,000 morph ~1% ivf and ICsi is our only shot
IVF #1 2/10
Antagonist protocol follistim an ganarelix
Stimmed for 8 days coasted for 2 days E2 >6000
trigger with 5000 of hcg
ER over 40 follicles 36 eggs 20 mature all fertilized
ET day 3, 2 eight cell embys 8 frozen
HPT bfn 7and8 dp3dt
Beta#1 15dp3dt 154 beta #2 19dp3dt 689 BFP!
U/S 5w3d sac and fetal pole seen u/s 6w3d hb 145
10/23/2010 @ 3:22pm Anna Catherine is here via all natural delivery! 6lbs 10oz 18.5 inches
FET aug 12 BFN
FET oct 12 BFN
Stim 12 days follistim menopur E2>4000
Trigger 4/27 Lupron and ovedril
ER 4/29 35 eggs retrieved, 20 mature 11 embys
Tx a grade A and a grade B blast
Bfp on hpt 4-10dp5dt woohoo !
5/15 beta 69 5/17 beta 221 5/21 beta 1779 doubling time 30hrs I'm
Trigger shots can be subcutaneous or IM. Do you know which yours was? If subcu, then the chance that you actually injected into a vein are lower. If IM, you do need to retract on the syringe to see if you have blood. I would call your clinic and actually have them do an HCG test today to make sure the trigger went into your system. I would hesitate to use just a pregnancy test, because they could detect that a low amount of HCG went in, but it may not be enough. If you go in for bloodwork, you should be able to rest comfortably knowing that your levels or good. If they are not, perhaps they could have you trigger again. I think the chances are pretty good that everything is just fine, but I would want the extra reassurance.
me-35 (high FSH; highest reading 32)
10/2008-IVF #1 (Houston IVF)
LLP (FSH 10.4)
4 eggs retrieved; 1 immature; no fertilization with ICSI; ET cancelled
12/2008-CCT-FSH 16 on Day 10
2/2008-Consult with CCRM-FSH 18
03/2008-dealyed IVF cycle due to cyst caused by Clomid
04/2009-IVF # 2 MDL
4/17-ER-7 eggs retrieved; 4 mature; 4 fertilized with ICSI
4/20-ET of 3 embryos; 4 cell grade 4; 8 cell grade 3+; 10 cell grade 3-
6/3-us-measuring right on track at 8w5d (learned that there was a twin that was not initially seen that stopped growing at 6wk)
7/1/09-NT scan normal. It is a girl!!
12/30/09-healthy baby girl!!
8/11-IVF # 3 BFN
10/2011-delayed cycle due to cyst
11/28/11-ET; 6 cell 4-; 4 cell 4-
I rang the clinic and they did a hcg test the next day and said my levels were fine. They seemed surprised at my concern but with the cost of IVF cycles I don't know how you wouldn't be concerned if you thought the trigger shot went wrong!
Only got 4 mature eggs in the end so still not entirely convinced it went well but I guess it could've been worse.
Thanks again for your advice and support!
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